{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,7,10]],"date-time":"2024-07-10T07:55:43Z","timestamp":1720598143929},"reference-count":30,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2018,2,8]],"date-time":"2018-02-08T00:00:00Z","timestamp":1518048000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Paediatrica"],"published-print":{"date-parts":[[2018,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>This study evaluated the prevalence of infectious diseases and immunisation status of children adopted from Africa.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We studied 762 African children referred to 11 Italian paediatric centres in 2009\u20132015. Clinical and laboratory data were retrospectively collected and analysed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The median age of the children (60.3% males) was 3 years and 6 months, 52.6% came from Ethiopia and 50.1% had at least one infectious disease. Parasitic infections accounted for the majority of the infectious diseases (409 of 715), and the most common were <jats:italic>Giardia lamblia<\/jats:italic> (n = 239), <jats:italic>Toxocara canis<\/jats:italic> (n = 65) and skin infections (n = 205), notably <jats:italic>Tinea capitis\/corporis<\/jats:italic> (n = 134) and <jats:italic>Molluscum contagiosum<\/jats:italic> (n = 56) Active tuberculosis (<jats:styled-content style=\"fixed-case\">TB<\/jats:styled-content>) was diagnosed in nine children (1.2%). Latent <jats:styled-content style=\"fixed-case\">TB<\/jats:styled-content> infections were diagnosed in 52 (6.8%) children, and only 23 had concordant positive tuberculin skin tests and Quantiferon Gold In\u2010Tube results. Discordant results were associated with Bacille de Calmette\u2010Gu\u00e9rin vaccinations (odd ratio 6.30 and 95% confidence interval of 1.01\u201339.20, p = 0.011). Nonprotective antitetanus or antihepatitis B antibody titres were documented in 266 (34.9%) and 396 (51.9%) of the 762 children.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The prevalence of infectious conditions and not\u2010protective titres for vaccine\u2010preventable diseases observed in our population underlines the need for prompt and complete medical screening of children adopted from Africa.<\/jats:p><\/jats:sec>","DOI":"10.1111\/apa.14237","type":"journal-article","created":{"date-parts":[[2018,1,24]],"date-time":"2018-01-24T15:13:21Z","timestamp":1516806801000},"page":"1581-1586","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["Italian multicentre study found infectious and vaccine\u2010preventable diseases in children adopted from Africa and recommends prompt medical screening"],"prefix":"10.1111","volume":"107","author":[{"given":"Elena","family":"Chiappini","sequence":"first","affiliation":[{"name":"Department of Health Sciences Meyer University Hospital University of Florence Florence Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mauro","family":"Zaffaroni","sequence":"additional","affiliation":[{"name":"Division of Pediatrics Department of Health Sciences IRCAD (Interdisciplinary Research Center of Autoimmune Diseases) University of Piemonte Orientale Amedeo Avogadro Novara Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Martina","family":"Bianconi","sequence":"additional","affiliation":[{"name":"Department of Health Sciences Meyer University Hospital University of Florence Florence Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Giuseppina","family":"Veneruso","sequence":"additional","affiliation":[{"name":"Department of Health Sciences Meyer University Hospital University of Florence Florence Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nicolino","family":"Grasso","sequence":"additional","affiliation":[{"name":"Division of Pediatrics Department of Health Sciences IRCAD (Interdisciplinary Research Center of Autoimmune Diseases) University of Piemonte Orientale Amedeo Avogadro Novara Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Silvia","family":"Garazzino","sequence":"additional","affiliation":[{"name":"Department of Paediatrics Regina Margherita Children's Hospital University of Turin Turin Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rosangela","family":"Arancio","sequence":"additional","affiliation":[{"name":"Paediatric Clinic San Paolo Hospital Milan Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Piero","family":"Valentini","sequence":"additional","affiliation":[{"name":"Pediatric Infectious Diseases Unit Department of Pediatrics Gemelli Hospital Catholic University A Rome Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anna","family":"Ficcadenti","sequence":"additional","affiliation":[{"name":"Pediatric Division Department of Clinical Sciences Polytechnic University of Marche, Ospedali Riuniti, Presidio Salesi Ancona Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maria Rosalia","family":"Da Riol","sequence":"additional","affiliation":[{"name":"Department of Pediatrics Sant'Antonio Hospital San Daniele del Friuli Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Simona","family":"La Placa","sequence":"additional","affiliation":[{"name":"Department of Sciences for Health Promotion and Mother and Child Care University of Palermo Palermo Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Luisa","family":"Galli","sequence":"additional","affiliation":[{"name":"Department of Health Sciences Meyer University Hospital University of Florence Florence Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maurizio","family":"de Martino","sequence":"additional","affiliation":[{"name":"Department of Health Sciences Meyer University Hospital University of Florence Florence Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gianni","family":"Bona","sequence":"additional","affiliation":[{"name":"Division of Pediatrics Department of Health Sciences IRCAD (Interdisciplinary Research Center of Autoimmune Diseases) University of Piemonte Orientale Amedeo Avogadro Novara Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2018,2,8]]},"reference":[{"key":"e_1_2_10_2_1","unstructured":"Italian Presidency of the Council of Ministers Commission for International Adoptions.International Adoptions. 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